Posttraumatic Endophthalmitis Caused by Lactobacillus

Dickens, Alan

doi:10.1001/archopht.1993.01090090021008

Cited by 14 publications

(5 citation statements)

References 2 publications

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“…Only 200 cases of lactobacillus-associated infections have been reported in the literature [11] and only one case of endophthalmitis due to lactobacillus has been reported which concerned and injured eye [11,12]. In our case no anti-metabolite was used, but an Ologen implant was placed on top of the scleral flap under the conjunctiva, before the final suturing of the conjunctiva.…”

Section: Discussionmentioning

confidence: 91%

Acute onset lactobacillus endophthalmitis after trabeculectomy: a case report

et al. 2010

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IntroductionWe report a case of early lactobacillus endophthalmitis which occurred ten days after trabeculectomy.Case presentationA 76-year-old Caucasian diabetic woman underwent uncomplicated trabeculectomy with a collagen implant as an adjunct, in her left phakic eye, for the treatment of uncontrolled open-angle glaucoma. Ten days post-operatively, our patient complained of left phakic eye discharge pain and visual acuity decreased to "light-perception". The anterior chamber had 3+ cells and flare, and there was also 2 mm layered hypopyon. Vitreous involvement was present obscuring visualization of the fundus. On the same day our patient underwent vitrectomy surgery and intra-vitreal and systemic antibiotics were administered. Vitreous cultures grew Lactobacillus brevis. Our patient responded well to treatment and 30 days after vitrectomy visual acuity improved to 1/10. Six months later our patient underwent cataract surgery. Eight months after initial surgery visual acuity was 2/10 and intra-ocular pressure was 14 mmHg without any anti-glaucoma medication.ConclusionsThis is the first report of acute lactobacillus endophthalmitis in the phakic eye of a diabetic patient after trabeculectomy. Glaucoma surgeons should be aware of the potential for acute post-operative endophthalmitis due to rare microorganisms, such as lactobacillus, in glaucoma filtration surgery, especially in diabetic patients. The literature shows an increased risk of endophthalmitis when anti-metabolites are used in conjunction with trabeculectomy. Perhaps, any type of wound healing modulation, such as collagen or mitomycin-C may increase this risk. However, it is unclear at this time and more studies need to be done. In this single case, vitrectomy combined with intra-vitreal and systemic antibiotics were efficient in limiting the devastating sequels of this complication.

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Section: Discussionmentioning

confidence: 91%

Acute onset lactobacillus endophthalmitis after trabeculectomy: a case report

et al. 2010

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“…O. uli is associated with periodontitis 1 and, rarely, bacteraemia. Two cases of ‘ Lactobacillus ’ endophthalmitis following trauma have been reported, but species names were not given 4,5 . As one case resulted from injury during an orthodontic procedure, there is a reasonable chance that the organism was O. uli .…”

Section: Resistance and Sensitivity Profiles Of The Two Isolated Bactmentioning

confidence: 99%

Chronic postoperative endophthalmitis with isolation of Leuconostoc and Olsenella uli in an Indigenous man

Durkin

Badenoch

Lake

et al. 2008

Clinical Exper Ophthalmology

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“…In einer detaillierten Literaturrecherche wurden bisher drei Beschreibungen einer durch Lactobazillen verursachten Endophthalmitis gefunden [27 -29]. Allerdings handelt es sich hier in zwei Fällen um eine posttraumatische [27,28] und im dritten Fall um eine postoperative [29] Endophthalmitis.…”

Section: Differenzialdiagnoseunclassified

Chronische endogene Endophthalmitis

Nentwich¹,

Kaspar²

2008

Klin Monatsbl Augenheilkd

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An endogenous endophthalmitis is a severe, potentially blinding intraocular infection due to haematogenous spread of germs. In Europe, gram-positive bacteria and Candida albicans are common causative organisms. Compared to post-operative cases of endophthalmitis, endogenous endophthalmitis is relatively rare, accounting for 2-8% of all endophthalmitis cases. Most patients suffer from an underlying disease causing some kind of immunodeficiency. Other predisposing factors are long-term therapy in intensive-care units (ICU), intravenous catheters, iatrogenic immunosuppression or intravenous drug abuse. Final visual acuity strongly depends on the time needed for the correct diagnosis, the infectious agent and the selection of adequate treatment. Identification of the infectious agent by vitreous biopsy and blood cultures enables the ophthalmologist to choose a specific antibiotic treatment. Therapy consists of topical, intravitreal and systemic antibiotics or antimycotics often in combination with steroids and pars plana vitrectomy. As many of the patients with endogenous endophthalmitis are initially misdiagnosed (e. g. uveitis), it is important to consider this disease in the presence of suspicious symptoms.

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Posttraumatic Endophthalmitis Caused by Lactobacillus

Cited by 14 publications

References 2 publications

Acute onset lactobacillus endophthalmitis after trabeculectomy: a case report

Acute onset lactobacillus endophthalmitis after trabeculectomy: a case report

Chronic postoperative endophthalmitis with isolation of Leuconostoc and Olsenella uli in an Indigenous man

Chronische endogene Endophthalmitis

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